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Contact Information

ROBERT C ADDICOTT, PT
20325 N 51ST AVE STE 150
GLENDALE, AZ85308-4622
 Phone: 602-385-2115
 Fax: 480-418-3323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ROBERT C ADDICOTT · (Male)

NPI # 1881697597
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/27/2005
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 5198
  • AZ Medicaid 113252
  • AZ Other 69799 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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